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Kitasamycin overcomes ferroptosis and immunotherapy resistance by targeting the HUWE1-NCOA4-FTH1 Axis - PubMed

3 months ago
  • #immunotherapy
  • #kitasamycin
  • #ferroptosis
  • Kitasamycin, a macrolide antibiotic, was identified as a potent ferroptosis sensitizer in vitro and in vivo.
  • Kitasamycin competitively binds to HUWE1, inhibiting its E3 ubiquitin ligase activity, stabilizing NCOA4, and activating the NCOA4-FTH1 ferritinophagy axis.
  • The study found that kitasamycin induces immunogenic ferroptosis and reshapes anti-tumor T-cell immunity.
  • Kitasamycin enhances immune checkpoint blockade (ICB) efficacy and overcomes ICB resistance in multiple preclinical melanoma models.
  • A high NCOA4 and low HUWE1 signature correlates with ferroptosis activation, increased T-cell infiltration, and improved survival in ICB-treated patients.
  • The findings suggest kitasamycin as a promising adjunct to immunotherapy for cancer patients needing concurrent antibiotic therapy.